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The Transatlantic Trade and Investment Partnership (TTIP), currently being negotiated by Brussels and the US, is meant to promote ‘collaboration across pharmaceutical and life science sectors’. But Mr Burnham warned: ‘If this goes through it will mean that any CCG anywhere in England could be challenged by a US private healthcare company – sued.’

Patients Association chief executive Katherine Murphy warned: ‘Reversing demand back to 2004 within two years is unrealistic and impractical. We do not have the services in the community to safely care for patients.’

The article also highlights a recent Kings Fund poll of 42 acute trust finance directors which could not find a single respondent who thought the plans could be achieved.

And finally some comfort for overworked GPs struggling to keep their eyes open while playing catch-up with unplanned admissions DES care plans - you are not alone, as one in six workers falls asleep at their desk once a week.